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General NPI Number Information
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NPI Number | 1659757755
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA INTERNAL MEDICINE PLLC
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Dates
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Enumeration Date | 07/31/2015
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 3905 NATIONAL DR STE 220
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City | BURTONSVILLE
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State | MD
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Zip | 20866-6106
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Country | US
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Telephone | 240-389-1986
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Fax | 833-449-5686
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Provider Business Mailing Address
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Address Line | 3905 NATIONAL DR STE 220
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City | BURTONSVILLE
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State | MD
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Zip | 20866-6106
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Country | US
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Telephone | 240-389-1986
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Fax | 833-449-5686
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Authorized Official
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Title or Position | MANAGER
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Name | DR. VIRAJ V TIRMAL
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Credential | M.B.B.S.
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Telephone | 240-389-1986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME102836
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME102836
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License Number State | FL
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